This study highlights the importance of financial stability for surgical leaders. It outlines key strategies employed over six years to increase revenue and manage expenses. By expanding faculty, advocating for more resources, and seeking external funding, the department raised revenue by 66%. While expenses also grew by 74%, leaders can potentially offset these by optimizing […]
Category: General Surgery
3D Printed Models Revolutionize Training for Complex Gastric Bypass Surgery
A cutting-edge training model for laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) has emerged, revolutionizing training for this intricate and high-risk procedure. Leveraging 3D printing technology, the models are designed to mimic the core surgical steps of LRYGB. The innovative use of fluorescent marking techniques allows for repeated practice, minimizing wear and tear. Unlike traditional methods […]
Remote Surgical Robotic Training Boosts Skills for Medical Students
In a study involving 40 medical students new to surgical robotics, researchers compared two training methods: remote training via a multi-channel video system and traditional one-on-one guidance. The remote training group scored higher in specific exercises on a robotic simulator, suggesting its effectiveness for skill acquisition. Notably, the remote trainers reported less fatigue than their […]
Diameter Trumps Volume in Monitoring High-Risk Thyroid Nodule Growth
In the evaluation of disease progression within high-risk thyroid nodules during active surveillance, researchers compared the effectiveness of tracking tumor diameter versus volume. Among 468 patients with a total of 569 high-risk thyroid nodules, only 2.5% showed a significant diameter increase of ≥3 mm, while volume fluctuations of 50% and 100% were noted in 32.5% […]
Bariatric Surgery Boosts Physical Activity and Social Support
Bariatric surgery is a game-changer for physical activity (PA) and social support. In a Swedish study, adults undergoing metabolic and bariatric surgery (MBS) experienced significant improvements in PA levels, including light and total PA and step counts. Additionally, self-reported PA, enjoyment, self-efficacy for exercise, and positive family support all increased. While these gains didn’t lead […]
Antral Preservation in Sleeve Gastrectomy: A Game Changer for Gut Health
The debate on the optimal distance between the starting point of gastric transection and the pylorus in laparoscopic sleeve gastrectomy (LSG) remains unresolved. Some opt for a shorter distance to maximize weight loss, while others prefer a longer distance, believing it offers protection against post-surgery issues like vomiting and gastroesophageal reflux disease (GERD). This meta-analysis […]
TOETVA: Aesthetic Thyroid Surgery Learning Curve and Castle Tumor Case
The transoral endoscopic thyroidectomy vestibular approach (TOETVA) offers a cosmetic edge over traditional thyroid surgery. Researchers assessed TOETVA’s learning curve and its effectiveness in treating carcinoma showing thymus-like differentiation (CASTLE) tumors. The study found longer operation times in TOETVA, but it excelled in skin numbness and cosmetic outcomes. The learning curve analysis revealed that a […]
Predicting Postoperative Pneumonia in Esophageal Cancer Patients
Sarcopenia, a condition involving muscle loss, is common in esophageal cancer patients. This study delved into how sarcopenia, particularly during neoadjuvant chemotherapy (NAC), affects postoperative complications, especially postoperative pneumonia (PP). By analyzing 113 patients, they found that the criteria of the modified European Working Group on Sarcopenia in Older People (EWGSOP) before NAC had high […]
Optimal Inferior Mesenteric Artery Ligation in Colorectal Cancer Surgery
In colorectal cancer surgery, the debate about whether to perform high or low ligation of the inferior mesenteric artery (IMA) continues. This study compared the outcomes of both approaches and examined the extent of lymph node dissection of the IMA. The results, after matching patient groups, showed that high ligation was associated with better recurrence-free […]
ERCP Vital in Managing Post-COVID-19 Cholangiopathy with Dismal Prognosis
Endoscopic findings reveal that post-COVID-19 cholangiopathy resembles secondary sclerosing cholangitis, affecting critically ill patients. It emerges early during intensive care, causing significant and often irreversible damage to bile ducts. Typical cholangiographic features include a centripetal pattern of bile duct destruction, “vanishing bile ducts,” and intraductal biliary casts. This condition is associated with peribiliary liver abscesses. […]